莱索托马塞卢医疗机构结核病患者治疗效果不佳的相关因素。

IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL

South African Family Practice Pub Date : 2024-10-21 DOI:10.4102/safp.v66i1.6004

Masechaba M Leketa, Slindile Zondi, Lindiwe Cele, Mmampedi Mathibe, Phuti Ngwepe

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引用次数: 0

摘要

莱索托的结核病治疗成功率（TSR）仍然很低。该国 2020 年的治疗成功率为 76%，远低于世界卫生组织为 2030 年设定的 95% 的目标。本研究确定了治疗成功率以及与不利治疗结果相关的因素。这项描述性横断面研究使用患者记录进行描述性分析和逻辑回归分析。336 名肺结核患者中有 61% 为男性。有 289 名患者治疗效果良好，其中 10% 的患者在治疗过程中死亡。年龄小于 44 岁的患者和接受辅助治疗的患者出现不利治疗结果的几率较低，调整后的几率[aOR] = 0.39（95% CI：0.19-0.78）和 aOR = 0.22（95% CI：0.08-0.62），P 0.05：需要解决患者在接受结核病治疗期间死亡的问题，包括加强对支持性治疗的宣传。

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Factors associated with unfavourable treatment outcomes among tuberculosis patients at health facilities of Maseru, Lesotho.

Tuberculosis (TB) treatment success rates (TSR) remain low in Lesotho. The country achieved TSR of 76% in 2020, which is far below the World Health Organization's 95% target set for 2030. This study determined the level of treatment success and factors associated with unfavourable treatment outcomes. This descriptive cross-sectional study used patient records to perform descriptive and logistic regression analyses. Sixty-one per cent of the 336 TB patients were male. Two hundred and eighty-nine had favourable outcomes, of which 10% died in the course of treatment. Patients ≤ 44 years old, and those with supported treatment, had lower odds of unfavourable treatment outcomes, respectively, adjusted odds ration [aOR] = 0.39 (95% CI: 0.19-0.78) and aOR = 0.22 (95% CI: 0.08-0.62), p 0.05.Contribution: The death of patients while on TB treatment needs to be addressed, including heightened advocacy for supported treatment.

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来源期刊

South African Family Practice MEDICINE, GENERAL & INTERNAL-

CiteScore

1.50

自引率

20.00%

发文量

审稿时长

25 weeks

期刊介绍： South African Family Practice (SAFP) is a peer-reviewed scientific journal, which strives to provide primary care physicians and researchers with a broad range of scholarly work in the disciplines of Family Medicine, Primary Health Care, Rural Medicine, District Health and other related fields. SAFP publishes original research, clinical reviews, and pertinent commentary that advance the knowledge base of these disciplines. The content of SAFP is designed to reflect and support further development of the broad basis of these disciplines through original research and critical review of evidence in important clinical areas; as well as to provide practitioners with continuing professional development material.